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NPI Code Detail

MEDICARE: WENDY LORD GEANEY MSN, CNP

MEDICARE: WENDY LORD GEANEY MSN, CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerNP-01134OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588657761
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY LORD GEANEY MSN, CNP
Provider Business Mailing Address
First Line : 5778 DARROW RD
Second Line : SUITE D
City : HUDSON
State : OH
Zip : 44236-3808
Country : US
Telephone Number : 330-655-2161
Fax Number : 330-650-2116
Provider Business Practice Location Address
First Line : 5778 DARROW RD
Second Line : SUITE D
City : HUDSON
State : OH
Zip : 44236-3808
Country : US
Telephone Number : 330-655-2161
Fax Number : 330-650-2116
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2005
Last Update Date : 12/01/2020

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